Mminhsgg.co.uk

Handheld RecordKeep this record safe and bring it with you to every appointment My Diabetes: Information & Resource Pack
Useful Telephone Numbers
NH Greater Glasgow & Clyde Diabetes Service
Diabetes UK
0141 245 6380
This is your personal diabetes record and it is important
Diabetes UK Careline 0845 120 2960
for your diabetes care
Please bring this record with you whenever you visit:
• Your general practitioner (GP)
• Your diabetes clinic
• Your diabetes practice nurse/specialist nurse
• The dietician
• The podiatrist /chiropodist
• Your home blood glucose meter and monitoring book
• The optician/optometrist/consultant ophthalmologist
• The accident and emergency department
• Or if you are admitted to hospital
Reminders
When you attend the diabetes clinic either at the hospital, or
your GP’s surgery please bring:
• Your hospital/clinic appointment letter
• Any medication you may be taking
• This booklet
• Your home blood glucose monitoring book
Useful phone numbers
General practitioner (GP)
My Diabetes: Information & Resource Pack
Patient Information
Your Medical History
My Diabetes: Information & Resource Pack
Your Medication (Please write down all medication, prescribed
and non prescribed that you are taking). Time to be taken
Other information
Date started
Date stopped
Example Metformin
Breakfast,
Lunch, Dinner
Take with food
15/01/09
My Diabetes: Information & Resource Pack
Your Medication (Please write down all medication, prescribed
and non prescribed that you are taking). Time to be taken
Other information
Date started
Date stopped
My Diabetes: Information & Resource Pack
Your Medication (Please write down all medication, prescribed
and non prescribed that you are taking). Time to be taken
Other information
Date started
Date stopped
11 My Diabetes: Information & Resource Pack
Your management chart (Please answer questions 1-7 in the boxes
provided with your GP or Diabetes team at your next review).

reviewed
reviewed
reviewed
reviewed
1) Do you monitor your
blood sugar levels?
2) Have you experienced
a low blood sugar
lately? If yes, how
3) If you take insulin; do
you have any marks
or changes at your
injection sites?
4) How much physical
activity are you
currently doing?
5) How much alcohol do
you drink?
6) Do you smoke?
7) When did you
last have a Flu
vaccination?
13 My Diabetes: Information & Resource Pack
Diabetes Review Result Sheet (Please fill in your test results at each review,
refer to page 25 for an explanation of what the different tests mean).

Your Results
Your Goal Date
Waist measurement
Blood pressure
Cholesterol
Kidney Function

Liver Function Test
Foot Examination
Eye Examination
Refer to other Health
Professionals
15 My Diabetes: Information & Resources Pack
Diabetes review/ follow-up sheet
HbA1c Result
HbA1c Result
Blood Pressure
Blood Pressure
Blood Cholesterol Result
Blood Cholesterol Result
HbA1c Target =
HbA1c Target =
Blood Pressure
Blood Pressure Target =
Cholesterol target =
Cholesterol target =
17 My Diabetes: Information & Resource Pack
Diabetes Review Result Sheet (Please fill in your test results at each review,
refer to page 25 for an explanation of what the different tests mean).

Your Results
Your Goal Date
Waist measurement
Blood pressure
Cholesterol
Kidney Function

Liver Function Test
Foot Examination
Eye Examination
Refer to other Health
Professionals
19 My Diabetes: Information & Resource Pack
Self-care goals (Please write down any changes you need to make to your
diabetes management, discuss these with your GP and or Diabetes team). GP or Nurse
Review Date
Goal Achieved
Example 15/01/09
I need to remember to take my
Diabetes specialist
(signed by my
metformin with or after food.
diabetes support
Example 15/01/09
I plan to increase my daily physical activity
Diabetes specialist
(signed by my
diabetes support
21 My Diabetes: Information & Resources Pack
Diabetes review/ follow-up sheet
HbA1c Result
HbA1c Result
Blood Pressure
Blood Pressure
Blood Cholesterol Result
Blood Cholesterol Result
HbA1c Target =
HbA1c Target =
Blood Pressure
Blood Pressure Target =
Cholesterol target =
Cholesterol target =
23 My Diabetes: Information & Resource Pack
Self-care goals
GP or Nurse
Review Date
Goal Achieved
25 My Diabetes: Information & Resource Pack
What do my results mean?
What do my results mean?
Definition
Guideline/
Definition
Guideline/
Healthy Range
Healthy Range
This is your long-term blood test and 7% Please albuminuria small amounts of protein in your
creatinine
Proteinuria
Pressure
monthly. You should rest for 20 mins less Please discuss with your doctor or nurse what targets you
Cholesterol Cholesterol levels that are too high
should be aiming for in the above tests.
could put you at risk of a heart attack. It is normally measured once a year.
Cholesterol High levels of HDL cholesterol can
Triglycerides Another type of fat in the blood.
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Source: http://www.mminhsgg.co.uk/content/mediaassets/pdf/HSD/Diabetes%20Handheld%20Record.pdf

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